Alabama Hospital Association highlights importance of expanding Medicaid

News Analysis by: John Zippert, Co-Publisher

The Alabama Hospital Association, a statewide trade organization representing 100 hospitals in the state is launching the ALhealthmatters campaign highlighting the importance of expanding Medicaid. The Association says If Alabama expands Medicaid, almost 300,000 uninsured Alabamians would receive health insurance coverage, an estimated 30,000 jobs would be created, and $28 billion in new economic activity would be generated.  Alabama would also save millions of dollars on current state services.  “On average, almost one out of every 10 hospital patients does not have health insurance, resulting in more than $530 million annually in uncompensated care,” said Danne Howard, executive vice president and chief policy officer of the Alabama Hospital Association.  “Currently, 75 percent of Alabama’s hospitals are operating in the red, meaning the dollars they receive for caring for patients are not enough to cover the cost of that care.  Expanding Medicaid would be a significant investment in the state’s fragile health care infrastructure and would help maintain access to care for everyone.” “In Greene County because we are a poor county, one in three patients do not have any insurance, which means we provide an average of $100,000 in uncompensated care per month. Expanding Medicaid under the Affordable Care Act would help people in our county whose earn less than 138% of poverty (approximately $20,000 annual for a family of four) to secure affordable health insurance coverage,” said Dr. Marcia Pugh, Administrator of the Greene County Health System. Howard adds that hospitals and other health care providers are a critical piece of the state’s infrastructure.  “Alabama’s hospitals employ about 90,000 individuals and indirectly support another 96,000 jobs,” she said.  “Not only are they often one of the largest employers in their communities, but hospitals also have a huge economic impact on their local economy.  Statewide, the annual economic impact of Alabama hospitals is nearly $20 billion, not to mention the pivotal role access to quality health care plays in recruiting and keeping new businesses.” The Alabama Hospital Association statement indicates the importance of expanding Medicaid but does not endorse the state’s Democratic political candidates who support Medicaid expansion. Walt Maddox, Democratic candidate for Governor, in the November election, says, “ I will expand Medicaid for Alabama during the first hour of the first day that I am Governor. We will find the resources to pay our part of the costs to pay for this critical life-saving service from our people.” Incumbent Gov. Kay Ivey has not expanded Medicaid and does not intend to because of cost. State Senator Hank Sanders said, “ It is clear that on the one issue of expanding Medicaid, there is a clear distinction between the candidates for Governor on the ballot in November.

Democratic candidate Walt Maddox will expand Medicaid and help save lives in Alabama as well as expand our economy in every county, while Kay Ivey will continue to oppose this program for narrow political reasons.” Since 2010 when Medicaid expansion has been available under the Affordable Care Act, Alabama has lost $7 billion in Federal support under the program. For the first three years of the program, there was no cost to the states to participate. This has increased by 2.5% a year until it reached the maximum 10% this fiscal year. In addition in coming years beginning in 2020, the disproportionate share reimbursement rate payment to rural hospitals will decline because the program assumes coverage for low-income people in the state by Medicaid expansion under the ACA. Rural hospitals in states like Alabama, that have not expanded Medicaid, will begin to take a “double-whammy” for not expanding Medicaid – more patients without insurance coupled with lower reimbursement rates. Howard notes that a recent study showed that hospitals in expansion states were 84 percent less likely to close than hospitals in non-expansion states.  “Alabama has had 12 hospitals close since 2011, and more are on the verge of closing if something doesn’t change,” she added. “Plus, the economic impact in other states has been tremendous; Louisiana has added 19,000 jobs; nearly 50 percent of new enrollees in Ohio have been able to receive mental health and substance abuse treatment, and the state has seen a 17-percent drop in emergency department use; Kentucky has seen an increase in state revenues of $300 million.” The AHA study says, “Investing in the rural health care infrastructure is critical as Alabama works to improve rural prosperity.  Alabama’s rural hospitals are an anchor in their communities‒creating jobs, providing critical care, and supporting other industries.   ​“When a rural hospital closes, other mainstays in the community often follow … local pharmacies, physicians, banks, and grocery stores to name a few. When a rural hospital closes, it’s very difficult to attract new business. “ ​Throughout the next few months, hospitals will be talking with business, civic and government leaders to stress the importance of expanding Medicaid in Alabama and to share quantitative results of the positive impact it is having in other states.  For more information on the impact Medicaid expansion could have in Alabama, visitwww.alhealthmatters.com.

Bingo facilities distribute $367,525 for month of May

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Shown above Bingo Clerk Emma Jackson, Brenda Burke representing the Greene County Commission, Bingo Clerk Minnie Byrd, Greene County Sheriff Jonathan Benison, Greene County Health System CEO, Dr. Marcia Pugh, Assistance Chief Walter Beck, Probate Judge Julia Spree and Boligee Councilwoman Earnestine Wade.

 

On Friday, June 15, 2018, Greene County Sheriff Department reported a total distribution of $367,525 for the month of May from the five licensed gaming operations in the county. The recipients of the monthly distributions from bingo gaming designated by Sheriff Benison in his Bingo Rules and Regulations include the Greene County Commission, the Greene County Sheriff’s Department, the cities of Eutaw, Forkland, Union, Boligee, the Greene County Board of Education and the Greene County Hospital (Health System).
The following assessments are for the month of May 2018.

Greenetrack, Inc. gave a total of $67,500 to the following: Greene County Commission, $24,000; Greene County Sheriff’s Department, $9,000; City of Eutaw, $4,500; and the Towns of Forkland, Union and Boligee each, $3,000; Greene County Board of Education, $13,500, the Greene County Health System, $7,500.
Green Charity (Center for Rural Family Development) gave a total of $67,500 to the following: Greene County Commission, $24,000; Greene County Sheriff’s Department, $9,000; City of Eutaw, $4,500; and the Towns of Forkland, Union and Boligee each, $3,000; Greene County Board of Education, $13,500, the Greene County Health System, $7,500.
Frontier (Dream, Inc.) gave a total of $67,500 to the following: Greene County Commission, $24,000; Greene County Sheriff’s Department, $9,000; City of Eutaw, $4,500; and the Towns of Forkland, Union and Boligee each, $3,000; Greene County Board of Education, $13,500, Greene County Health System, $7,500.
River’s Edge (NNL – Next Level Leaders and TCCTP – Tishabee Community Center Tutorial Program) gave a total of $73,225 to the following: Greene County Commission, $24,000; Greene County Sheriff’s Department, $9,000; City of Eutaw, $4,500; and the Towns of Forkland, Union and Boligee each, $3,000; Greene County Board of Education, $13,500, and the Greene County Health System, $13,225.
Palace (Tommy Summerville Police Support League) gave a total of $99,330 to the following: Greene County Commission, $4,620; Greene County Sheriff’s Department, $36,930; City of Eutaw, $27,720; and the Towns of Forkland, Union and Boligee each, $4,620; Greene County Board of Education, $4,620 and the Greene County Health System, $11,550.

 

Greene County Health System (GCHS) thanks municipalities for financial contributions

Shown above Mayor of Forkland Charlie McAlpine, City Council and community members with CEO of Greene County Health System giving plaque of appreciation.

Shown above Mayor of Boligee Louis Harper, City Council and community members with CEO of Greene County Health System giving plaque of appreciation.

 

Dr. Marcia Pugh, GCHS CEO/Administrator, attended meetings of the municipal governments in Forkland and Boligee to thank the Mayors and councilmembers for assistance to the Greene County Health System. The GCHS consists of the Hospital, Residential Care Center (Nursing Home) Physicians Clinic and other ancillary health services.
On Monday night, March 5, Dr. Pugh thanked the Mayor and Council members in Forkland and presented them a plaque for their contribution of $3,499 which was used to purchase a commercial hot water heater for the hospital when the current hot water heater failed.
On Tuesday night, March 13, Dr. Pugh thanked the Mayor and Council of Boligee and presented them with a plaque for their contribution of $4,488, which was used to purchase new air conditioning units for the facility to replace units that had served their time and worn out.
Dr. Pugh also received $1,074.70 from the Town of Union, which was used to purchase a new hospital bed for the Residential Care Center, where more replacement beds are urgently needed. Dr. Pugh said she would also bring a plaque for the Town of Union at a future city council meeting.
“Our hospital is non-profit and we have a charitable foundation that can accept donations and bequests from individuals, churches, organizations, businesses and others in the community to improve and strengthen our facilities. We have a long needs list, with small and large items, if you would like to help us to enhance our facilities and services, said Pugh.
For more information contact Dr. Pugh at GCHS, 509 Wilson Avenue, Eutaw, Alabama 35462; phone: 205/372-3388; email: Marcia.Pugh@gcheutaw.com.

Dr. Marcia Pugh chosen to be new Administrator of the Greene County Health System

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The Board of Directors of the Greene County Health System (GCHS) has chosen Dr. Marcia Pugh to be its new Administrator/Chief Executive Officer. GCHS includes the Hospital, Residential Care Center (Nursing Home), Physicians Clinic and other components of the county health system.
The GCHS Search Committee received over 40 applications, interviewed 10 persons by phone and held one face-to-face interview in the process of selecting the new Administrator. The GCHS Board confirmed the selection of Pugh at its November meeting. Her first day on the job at the Hospital was Monday December 4, 2017.
Prior to joining Greene County Health System, Pugh served as Director of Grants, Research and Outreach of West AL (GROWestAL), a division of the Tombigbee Healthcare Authority based at Bryan Whitfield Hospital in Demopolis. She held a number of administrative and nursing positions with the Tombigbee Healthcare Authority at Bryan Whitfield in Demopolis, starting in 1992. Prior to her service in Demopolis, she worked with the Jefferson County Department of Health and the John A. Andrews Hospital in Tuskegee, Alabama.
Pugh earned a Doctor of Nursing Practice Degree from the Capstone College of Nursing at the University of Alabama in Tuscaloosa, in 2010. She has a Masters of Nursing and Business Administration from the University of Phoenix and a Bachelor of Science degree in Nursing from Tuskegee University. She is an Adjunct Professor of Nursing at several colleges including Aurora University and Concordia School of Nursing of Wisconsin.

“In the resume, she submitted for the position, she listed five pages of Federal and foundation grants in the healthcare field that she had written or participated in during the past ten years,” said John Zippert, Chair of the GCHS Board of Directors. He added, “We hope that she will be able to develop similar grant programs for Greene County.”
“I’m excited and I’m humbled to be given the opportunity to lead this fantastic team of employees who put quality first in providing health services support to Greene County Health System stakeholders,” Pugh says.
“Our men and women at Greene County Hospital take pride in serving the families of this community, and I am proud to join this team.”
John Zippert, Chair of the Board of the Greene County Health System said, “We welcome Dr. Marcia Pugh and will work with her in any way possible to enhance and strengthen our Hospital and health facilities in Greene County.”
Pugh listed as her major goals for improving the status and facilities of the Greene County Hospital and Nursing Home:
•Achieve a balanced fiscal position where the Hospital, Nursing Home and Physicians Clinic will have sufficient patient income and external subsidies to cover operations;
•Expand the Emergency Care capabilities of the Hospital;
•Fill the 20 vacant beds in the GCHS Residential Care Center (Nursing Home)
•Recruit additional health care providers, i. e., physicians and nurse practioners to increase services to Greene County and surrounding residents;
•Improve the image and involvement of the Hospital and Nursing Home in the community.
Dr. Pugh has two children, Nakieta, a Clinical Psychologist and Barrown, II, a husband and devoted father. She lives in Demopolis.